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Home My WebLink About2744 CARLSBAD BLVD; 114; CB054016; Permit11-21-2005 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Sign Permit Permit No: CB054016 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: 2744 CARLSBAD BL CBAD SIGN 2031722701 Lot#: 0 $8,000.00 Construction Type: NEW THE DEN-SIGN ILLUMINATED Status: ISSUED Applied: 11/21/2005 Entered By: RMA Plan Approved: 11/21/2005 Issued: 11/21/2005 Inspect Area: Applicant: FORD SIGNS STEE 1304N. MELROSE VISTA CA 92073 760-631-1976 Owner: SIMONS JOHN&MAUREEN 2744 CARLSBAD BLVD #209 CARLSBAD CA 92008 Building Permit Add'l Building Permit Fee Plan Check Add'l Plan Check Fee Electrical Fee Renewal Fee Add'l Renewal Fee Other Building Fee Additional Fees TOTAL PERMIT FEES $84.29 $0.00 $54.79 $0.00 $20.00 $0.00 $0.00 $0.00 $0.00 $159.08 Total Fees:$159.08 Total Payments To Date:$15908 Balance Due:$0.00 EXPIRED PERMIT PERMIT HAS EXPIRED fN ACCORDANCE WITH C.B.C. SECTION 106.4.4 AS AMENDED BY C.M.C.18.04.030 SIGNATURE Inspector: FINAL APPROVAL Date:Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3,32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which vou have previously been given a NOTICE similar to this, or as to which the statute of limitations has DreviQJsJvjMherwise expired. ..._ PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY /q PLAN CHECK NO.<V {}, 0 $ ^ Q( tp EST. VAL. Plan Ck. Deposit Validated By. Date -POOAddress (include Bids/Suite #) Legal Description Assessor's Parcel # Description of Work p- , , — . Business Name (at this address) Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Existing Use Proposed Use _ SQ. FT. <Cof Stories # of Bedrooms # of Bathrooms Name Address State/Zip Telephone #Fax# (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exerimptien. Any violation o^Sectic-n.7031.5 by any appjjcant for a^awnit subjects tha^pDlkawt to a ciy'Loepajly of nptmore^ianjjve hundred dollars [$$&9to?( Name . -, j i /•"> "~1 Address .-, i \<T ^itv State/Zip Telephone # State License # ' \ ( \ \} t License Class (^ \ — \ O City Business License # \ T 0 , (I> V C 1 /' Designer Name Address 'State License # ' ( V\ •v-' ;/ ~> " — City State/Zip Telephone Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: Q I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. HL, I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's compensation insurance carrier arS~*- I s~\ Y? n /">]/' v"~1Insurance Company ^ A\ JL^C-K-x-A. J[ J (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 14100) OR LESS) O CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Falura to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollar*JV$100,000), IR addition tip the\cost of compensation, damage* e» provided for In Section 3706 of the Labor code, inferasfjod attorney's fees. ^^&\ DATE \V /'Z-i t hereby affirm that I am exempt from the Contractor's License Law for the following reason: Q I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that ha did not build or improve for the purpose of sale). O '. »* owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). Q I am exempt under Section Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. Q YES QNO 2. I (have / have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number / contractors license number): . 5. t will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work): __ PROPERTY OWNER SIGNATURE DATE Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? Q YES Q NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Q YES Q NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q YES Q NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. . .: - ;-•;•>: L - I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME LENDER'S ADDRESS I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is requfted for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. by the building Official_under the provisions of this Code shall expire by limitation and become null and void if the building or work immenced within 180 daystom the date of such permit or if the building or work authorized by such permit is suspended or abandoned enced for a period of iflO da\s (Section 106.4.4 Uniform Building Code). EXPIRATION: Every permit is authorized by such permit is not < at any time after the work is ft APPLICANT'S SIGNATURE DATE HITE: File YELLOW: Applicant PINK: Finance •o till •o • 31 <o•e w o<O lass e?^s ^" * & i cj> £||ii I R * 9Sir? | : **!$!.= IS". <J ^T Vj^: cr(0 CD O> CO o o Y3S3HJ. AS 3 H I NVld NOIS SU6S 6uo|B 9J01S AjjuniuLuoo AjjuniuLuoo ai!s) p.2 ASBBD. CERTIFICATOF LIABILITY INSURANC ro:05/Q9/QB flan Tbaqujji Vallay Ineuranca7405 X. Flrct St.P. O. Boat 28906Fraano CA. 93729-8906 Phonal 859-447-4600 1 Hit C1K IIUCATE 1$ ntUttU A8 A MA 11BK OP MFORNAT10N ONLY AND CONFER* NO RIGHTO UPON THI CERTIFICATE HOLDER. THIS CERTIFICATE DOM NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POUCIC* BELOW. INSURERS Aff ORCNNO COVERAGE NAICH INSURER A: iNSUMR B:Clarendon H*el*ul Iord flisni*. Inc.310-A FVMalro»aVista CA 92083 Dr <N8URER C. INSURER C: INSURER E: coviRAoea THE FOUCflW OP weUHAHCt LOTED BftOW HAVE BfflN ISSUED TO THE INSURED MAUS3 ABOVE TOR TmTOLIffl-PEMOD INDICATED NOT¥«THaTAKDlH3 AMV MQUIMEfcT. TERM Oft CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CEKWCATE MAY BE IS4UED OR MAY PERTAIN. THE HWJRANCi AFFORDED BVTHE POUOW DESCWBED HEREIN 19 SUBJECT TO ALL THE TERMS EXCLUilONS*ND COtOTIONS OF SUCH A A B MPtS TYnOFIHIUtUNCI X OEM9!M.UAMLrTY XjCOMLKROAl «ENEftAL UfOUTf (OJW18MI>06 \yj\ OCCUR X iMobila a<mi^«ant aeWLAQOHRUTf LMr AMUUnH: WUCYJ IJIft i |LOC AUTOMDHU UMIUTY X /wvAtn-o ALL OWNED AJTOB KMEXILEDAUTOE HMD AUTOS M»H>WWDAUTO» aARAMUAWUTY , AW AUTOh BXCEaWMMMLU UAW1JTY "~1 OCCUR f~~i CLAIMS hMDE OEDUCTiaLE WTINTION | ffORKBU CCHMFEMUTiON AJ4D•UPLjOTVU' UAHJTY PCLKYNUMMR wrSTlKIKYY? i'oWlSSJoWff" 1 LIMTB CBP8023964 CBP3023964 01KR1628305 05/09/05 05/09/05 05/09/05 05/09/06 05/09/06 05/09/06 EACH OCCUWENOe * 1000000 UOIMMJK 1 U -ttn 1 BJPREMISES [El ocouwwt) MED CX? 'Any on* t»«on) PER30H<NLaADVIf4JURY GENEFWL AOOREOfcTK PRODUCTS - OOMPJOP AGO !^SS»*aElMT BODILY INJURY BODILY INJURY 1300000 f 1000 i 1000000 s 2000000 s 2000000 11000000 $ ' PflOPEftrr DAMAGE .(F%-«oddefi:) * AUTO ONLY -EA ACCBCNT OT>ALTHFH TH*N ^i.*0?•OOM-Yi MQ EACH OCCURRENCE AOGREOATE X TORYLMT8 1 i B»" C.U EACH ACCIDENT S 1COOOOO CCTICEWMEM»8RE)ffiLljBlEO? Si..Dl6EME-EAOi«»iOYBei 9 1000000 i^feJT^TMONIwfcw OTHM E.L DISEASE. POUCVUMIT [ I 1000000 BHCWTIOH OF OHRATWW / LOOATIOM / VBHOLEB 1 BXOUIIIOH* AOMD §Y CNDORSEMENTf 8PECMI PftOVBKHI* Vadaral Haath. Sign Co. , LLC ia nanad additional inaurad ai eaapaota CoraMroial Qtuomxmi Liability Covarag*. *ln tha evant of non-pa.ya*nt of a 10 dvy notioa of oanoallation xill ba iaa-uad. CCRTIFtCATe HOLDER CANCELLATION necRLRT ffadaral Maath Sign Co . , LLC Attn: Kitty C.K. Siupkin* 160 W. Carnal Or. , Suita 236Carmal IN 46032 / atflULOANVOF THE ABOVE DE8CHBU POUCBBHCANCCUBDMffOKTHE EWMAT10M DAfETMIMOF.THilMUIHOIMURIRVNLLEMDBAVeRTOMAIL 30* DAYVVnumN nOTKETOTHECWTnCATE HOLMR NAMED TO THE LEFT, EUTf AIIUMTO DOW SHALL i *OU HC OBLMATtOH OK LMMUTY Of ANY WHO UPON THf iH»MR, mi MMHT* DM ' flE^RHEMTATIWa , j/1vjjji^tez^ 9 ACORD COIVORATION1081